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Conditions of the inner ear - Coggle Diagram
Conditions of the inner ear
Maniere's disease
Definition
This is a specific balance disorder of the inner ear that is characterized by the triad symptoms which are vertigo, hearing loss and tinnitus
Causes
Even though the cause of this disorder is not known but it is thought to be related to malabsorption of the endolymph in the membranous labyrinth
Pathophysiology
Clinical manifestation
Anxiety
Blurry virsion
Nausea and diarrhea
Trembling
Cold sweat and rapid pulse
Treatment
Oral medicine for motion sickness
Nausea medications to eliminate nausea and vomiting
Diuretics to reduce fluids in the ear
Steroids to eliminate underlying immune system problems
Risk factors
Stress
Overwork
Fatigue
Underlying sickness
Diagnostic tests
Audiometry
Rotary chair testing
Posturography (test of balance)
CT scan
Electrocochleography
Complete blood count
Hearing loss
Clinical manifestation
Muffling of speech and other sounds
Trouble hearing consonants
Frequently asking others to more slowly, clearly and loudly
Avoidance of some social settings
Causes
Damage in the inner ear
Gradual build up of earwax
Ear infection and abnormal bone growths or tumors
Ruptured eardrum
Risk factors
Aging
Loud noise
Heredity
Occupational noise
Recreational noise
Some medications are a risk factor
Nursing management
Prevention
Patients should avoid being in areas with loud sounds
Patients should regularly test their hearing
Avoid recreational risks
Intervention
Talk softly to the patient and avoid shouting
Purulent labyrinthitis
Definition
Is the bacterial infection of the inner ear that's often cause deafness and loss of vestibular function
Clinical manifestation
Severe vertigo and nystagmus
Nausea and vomiting
Tinnitus
Varying degrees of hearing
Pain and fever
Diagnostic tests
Temporal bone CT
MRI
Spinal tap
Treatment
Iv antibiotics
Myringotomy
Tympanostomy
Drainage of fluids from the middle ear
Reference
Lawrence R. Lusting, MD,
Columbia University Medical Center and New York Presbyterian Hospital